A generation ago, transgender Americans were widely regarded as deviants, unfit for dignified workplaces, a disgrace for families. Those who confided in relatives were, by and large, pitied and shunned. For most, transitioning on the job was tantamount to career suicide. Medical procedures to align a person’s body with that person’s gender identity — an internal sense of being male, female or something else — were a fringe specialty, available only to a few who paid out of pocket.

Coming out meant going through life as a pariah.

Being transgender today remains unreasonably and unnecessarily hard. But it is far from hopeless. More Americans who have wrestled with gender identity are transitioning openly, propelling a civil rights movement that has struggled even as gays and lesbians have reached irreversible momentum in their fight for equality.